高龄产妇产后抑郁影响因素的质性研究  

Qualitative study on influencing factors of postpartum depression in older women

作　　者：刘璐 许子华[1] 徐小青 姬栋岩[1] LIU Lu;XU Zihua;XU Xiaoqing;JI Dongyan(School of Nursing,Inner Mongolia Medical University,Inner Mongolia,Hohhot 010010,China)

机构地区：[1]内蒙古医科大学护理学院,内蒙古呼和浩特010010

出　　处：《中国现代医生》2022年第29期85-88,共4页China Modern Doctor

基　　金：内蒙古医科大学青年创新基金项目(YKD2020QNCX020);内蒙古自然科学基金项目(2019MS03040)。

摘　　要：目的探究高龄产妇产后抑郁的影响因素,为护理人员今后在临床工作中提供个性化的护理服务提供参考依据。方法采用质性研究中的现象学研究法对2021年12月至2022年4月在内蒙古医科大学附属医院妇产科建档分娩的16例高龄产妇进行半结构式访谈,并以Colaizzi现象学研究方法进行资料分析。结果提炼出影响高龄产妇产后抑郁的4个主题:躯体性压力源;负性心理体验;社会支持缺乏,矛盾出现;角色转变对高龄产妇的影响。结论需重视高龄产妇产后的主观感受,加强产前产后健康宣教,构建以家庭为中心的高龄产妇产后护理模型,减少产后抑郁的发生。Objective To explore the influencing factors of postpartum depression in elderly women,so as to provide reference for nurses to provide personalized nursing services in clinical work in the future.Methods From December 2021 to April 2022,the phenomenological method of qualitative research was used to conduct semi–structured interviews on 16 elderly parturiants who delivered in the department of obstetrics and gynecology,Affiliated Hospital of Inner Mongolia Medical University,and Colaizzi's phenomenological research method was used to analyze the data.Results Four themes of influencing factors of postpartum depression were extracted:somatic stressors;negative psychological experience;lack of social support,contradictions;effect of role change on advanced maternal age.Conclusion It is necessary to pay attention to the subjective feelings of advanced maternal age after childbirth,strengthen prenatal and postpartum health education,build a family–centered postpartum care model for advanced maternal age,and reduce the occurrence of postpartum depression.

关 键 词：高龄产妇 产后抑郁 质性研究 

分 类 号：R471[医药卫生—护理学]